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目的评估一次性鞘套胃镜联合上消化道症状调查表对边防官兵上消化道疾病诊断的价值。方法 568例患者接受一次性鞘套胃镜检查并填写上消化道症状调查表。记录内镜操作时间和鞘套穿脱时间、胃镜检查结果、内镜操作过程中发生的问题,调查表按症状严重程度得出总分。结果一次性鞘套胃镜检查的平均操作时间为(4.9±1.4)min,鞘套穿脱平均时间为(4.9±0.2)min。一次性鞘套在穿脱、内镜操作过程中未发生破裂情况。胃镜下明显病变的总检出率为38.9%,最常见的疾病依次为胃炎(15.3%)、消化性溃疡(13.2%)和反流性食管炎(7.9%)。上消化道症状的严重程度与胃镜下是否有明显病变有显著关系(χ2=11.04,P=0.001)。结论一次性鞘套胃镜联合上消化道症状调查表在边远地区等特殊场合下对上消化道疾病诊断有独特价值。
Objective To assess the value of the one-time sheath-gastroscopy combined with upper gastrointestinal symptoms questionnaire in the diagnosis of upper gastrointestinal diseases in border guards. Methods 568 patients underwent one-time sheath gastroscopy and fill in the upper gastrointestinal symptoms questionnaire. Record endoscopic operation time and sheath sheath off time, gastroscopy results, endoscopic operation problems occurred, the questionnaire according to the severity of the symptoms to obtain the total score. Results The average operating time of disposable sheath gastroscopy was (4.9 ± 1.4) min and that of sheath sheath was (4.9 ± 0.2) min. One-time sheath in the wear and tear, endoscopic operation without rupture. The total detection rate of obvious lesions under gastroscopy was 38.9%. The most common diseases were gastritis (15.3%), peptic ulcer (13.2%) and reflux esophagitis (7.9%). The severity of upper gastrointestinal symptoms and endoscopic gastroscopy there is a significant relationship (χ2 = 11.04, P = 0.001). Conclusion One-time sheath gastroscopy combined with upper gastrointestinal symptoms questionnaire in the remote areas and other special occasions for the diagnosis of upper gastrointestinal diseases have unique value.